DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.
NPI 1477169076
Family Medicine - Sports Medicine in Pearland, TX
NPI Status: Active since September 18, 2020
Contact Information
3322 E WALNUT ST STE 112
PEARLAND, TX
ZIP 77581
Phone: (281) 485-3226
Fax: (281) 485-5520
- Organization
- Family Medicine
- Sports Medicine
- CLIA Number: 45D2299256
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-14-2028
About DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.
This page provides the complete NPI Profile along with additional information for Doc's Interventional Sports Medicine And Primary Care P.l.l.c., a primary care provider established in Pearland, Texas operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1477169076 assigned on September 2020. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Vincent Joseph Mandola Md (Physician/owner)
- NPI
- 1477169076
- Provider Name
- DOC'S INTERVENTIONAL SPORTS MEDICINE AND PRIMARY CARE P.L.L.C.
- Entity Type
- Organization
- Location Address
- 3322 E WALNUT ST STE 112 PEARLAND, TX 77581
- Location Phone
- (281) 485-3226
- Location Fax
- (281) 485-5520
- Mailing Address
- 3322 E WALNUT ST STE 112 PEARLAND, TX 77581
- Mailing Phone
- (281) 485-3226
- Mailing Fax
- (281) 485-5520
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-18-2020
- Last Update Date
- 12-22-2021
- Code Navigator
A primary care provider (PCP) like Doc's Interventional Sports Medicine And Primary Care P.l.l.c. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1013352251 | OTHER (01) | TX | NPI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2299256
- Facility Type
- Physician Office
- Certificate Effective Date
- February 15, 2026
- Certificate Expiration Date
- February 14, 2028
- Laboratory Director
- VINCENT J. MANDOLA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Doc's Interventional Sports Medicine And Primary Care P.l.l.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477169076, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PEARLAND, TX 77581
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477169076, enumerated as an "organization" on September 18, 2020.
The provider is located at 3322 E WALNUT ST STE 112 PEARLAND, TX 77581 and the phone number is (281) 485-3226.
Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
